Individual
DR. WILLIAM LEE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1002 W BEACON ST, PHILADELPHIA, MS 39350-3204
(601) 656-2432
Mailing address
10730 SAINT FRANCIS DR, PHILADELPHIA, MS 39350-2171
(601) 656-2432
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
634
MS
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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